Individual
DANIEL ROBERT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13410 N DERRINGER RD, MARANA, AZ 85653-8900
(520) 668-0126
Mailing address
13410 N DERRINGER RD, MARANA, AZ 85653-8900
(520) 668-0126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-28748
AZ
Other
Enumeration date
09/22/2023
Last updated
06/14/2024
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